Provider Demographics
NPI:1205830288
Name:LEE, GEORGE ALLEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:ALLEN
Last Name:LEE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7500 BEECHNUT ST
Mailing Address - Street 2:STE 145
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-4393
Mailing Address - Country:US
Mailing Address - Phone:713-988-9995
Mailing Address - Fax:713-988-9995
Practice Address - Street 1:7500 BEECHNUT ST
Practice Address - Street 2:STE 145
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-4393
Practice Address - Country:US
Practice Address - Phone:713-988-9995
Practice Address - Fax:713-988-9995
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX180071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice